| NPI | 1457084386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON CAMAR SALAMAT CFO 626-497-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-28 |